Differences in Radiopacity, Surface Properties, and Plaque Accumulation for CAD/CAM-Fabricated vs Conventionally Processed Polymer-based Temporary Materials

2019 ◽  
Vol 45 (4) ◽  
pp. 407-415 ◽  
Author(s):  
P Nassary Zadeh ◽  
N Lümkemann ◽  
M Eichberger ◽  
B Stawarczyk ◽  
M Kollmuss

Clinical Relevance As temporary materials are often used in prosthetic dentistry, there is need to investigate their behavior in the oral environment. Parameters such as surface roughness and surface free energy correlate to the level of plaque adhesion, which can impact gingival health. SUMMARY Objective: To test computer-aided design/computer-aided manufacturing (CAD/CAM)-fabricated and conventionally processed polymer-based temporary materials in terms of radiopacity (RO), surface free energy (SFE), surface roughness (SR), and plaque accumulation (PA). Methods and Materials: Six temporary materials (n=10/n=10) were tested, including three CAD/CAM-fabricated (CC) materials—Art Bloc Temp (CC-ABT), Telio CAD (CC-TC), and VITA CAD Temp (CC-VCT)—and three conventionally processed (cp) materials: Integrity Multi Cure (cp-IMC), Luxatemp Automix Plus (cp-LAP), and Protemp 4 (cp-PT4). Zirconia acted as the control group (CG, n=10). RO was evaluated according to DIN EN ISO 13116. SFE was investigated using contact angle measurements. SR was measured using a profilometer. The PA tests were performed using three microorganisms: Streptococcus mutans, Actinomyces naeslundii, and Veillonella parvula. Data were analyzed using Kolmogorov-Smirnov, Kruskal-Wallis, Mann-Whitney U-, Dunn-Bonferroni, Wilcoxon, Levene, and Pearson tests and one-way analysis of variance with post hoc Scheffé test (α=0.05). Results: No radiopacity was observed for any CC material or cp-PT4. CG showed the highest RO, while no differences between cp-IMC and cp-LAP were found. CG showed lower SFE compared to all polymer temporary materials, except in the case of CC-TC. cp-LAP and cp-IMC presented higher SFE than did CC-TC and CG. CC-ABT presented lower initial SR values compared to cp-PT4 and cp-LAP. For cp-LAP, a higher initial SR was measured than for all CAD/CAM materials and cp-IMC. All specimens showed a certain amount of PA after the incubation period. A naeslundii and V parvula resulted in comparable PA values, whereas the values for S mutans were lower by one log level. CAD/CAM materials showed superior results for SR, SFE, and PA, whereas all materials lacked RO.

2021 ◽  
Author(s):  
CA Jurado ◽  
A Tsujimoto ◽  
H Watanabe ◽  
NG Fischer ◽  
JA Hasslen ◽  
...  

SUMMARY Objective: The purpose of this study was to evaluate the effectiveness of five different polishing systems on a computer-aided design and computer-aided manufacturing (CAD/CAM) polymer-infiltrated ceramic-network restoration with nanoscale assessment using atomic force microscopy (AFM) and visual assessment performed by dental school senior students and faculty members. Method: Forty-eight full coverage crowns were milled out of polymer-infiltrated ceramic-network CAD/CAM blocks (Vita Enamic) for polishing with one company proprietary, two ceramic and two composite polishing systems. The prepared crowns were divided into six groups: (1) no polishing (control); (2) polishing with Vita Enamic Polishing Kit (VEna); (3) polishing with Shofu Porcelain Laminate Polishing Kit (SCer); (4) polishing with Brasseler Dialite Feather lite All- Ceramic Adjusting & Polishing System (BCer); (5) polishing with Shofu Composite Polishing Kit (SCom); and (6) polishing with Brasseler Composite Polishing Kit (BCom). The polished crown surface topography was observed, and surface roughness and area were measured with AFM. In addition, polished crowns were visually assessed by 15 senior dental students and 15 dental school faculty members. Results: All polishing treatments significantly reduced the surface roughness and area of the crown compared with the control. SCom and BCom showed significantly higher surface area than VEna, and the SCer and BCer groups were intermediate, showing no significant difference from either VEna or SCom and BCom. There were no significant differences in surface roughness between any of the systems. Dental students and faculty members classified the groups polished with VEna, SCer, and BCer groups as clinically acceptable, and they selected BCer group as the best polished restorations and the control group as the least polished restorations. Conclusions: Ceramic and composite polishing systems produced similar polishing results as that observed using a company proprietary polishing system. However, effectiveness for polishing using a company proprietary and ceramic polishing system tends to be higher than composite polishing systems.


Materials ◽  
2019 ◽  
Vol 12 (14) ◽  
pp. 2252 ◽  
Author(s):  
Yin ◽  
Jang ◽  
Lee ◽  
Bae

This study compares the mechanical properties and wear ability of five CAD/CAM (computer-aided design/computer-aided manufacturing) millable dental blocks. All the discs, including Amber Mill Hybrid, Vita Enamic, Katana Avencia, Lava Ultimate, and Amber Mill, were cut in dimensions of 1.2 mm in thickness and 12 mm in diameter, polished to a machined surface, and immersed in distilled water for seven days. Vickers hardness was measured and the indentations were observed using microscope. The discs were brushed under a 150 g load. Mean surface roughness (Ra) and topography were determined after 100,000 cycles. Finally the biaxial flexure strength of the discs was measured and the broken surfaces were observed using scanning electron microscopy (SEM). The data was subjected to Weibull analysis. All data were analyzed by one-way analysis (ANOVA). The results of Vickers hardness are shown as: Amber Mill > Vita Enamic > Amber Mill Hybrid > Lava Ultimate > Katana Avencia. Katana Avencia showed the highest volume percentage reduction and the roughest surface after toothbrushing. The biaxial flexural strength is shown as: Amber Mill > Katana Avencia > Lava Ultimate > Amber Mill Hybrid > Vita Enamic. All the tested materials exhibited varying degrees of mass loss and surface roughness. The properties of the composite materials are related to the filler content, filler volume, and polymerization methods.


Polymers ◽  
2021 ◽  
Vol 13 (10) ◽  
pp. 1534
Author(s):  
Andrea Schubert ◽  
Ralf Bürgers ◽  
Franziska Baum ◽  
Oliver Kurbad ◽  
Torsten Wassmann

Microbial adhesion to oral splints may lead to oral diseases such as candidiasis, periodontitis or caries. The present in vitro study aimed to assess the effect of novel computer-aided design/computer-aided manufacturing (CAD/CAM) and conventional manufacturing on Candida albicans and Streptococcus mutans adhesion to oral splint resins. Standardized specimens of four 3D-printed, two milled, one thermoformed and one pressed splint resin were assessed for surface roughness by widefield confocal microscopy and for surface free energy by contact angle measurements. Specimens were incubated with C. albicans or S. mutans for two hours; a luminometric ATP assay was performed for the quantification of fungal and bacterial adhesion. Both one-way ANOVA with Tukey post hoc testing and Pearson correlation analysis were performed (p < 0.05) in order to relate manufacturing methods, surface roughness and surface free energy to microbial adhesion. Three-dimensional printing and milling were associated with increased adhesion of C. albicans compared to conventional thermoforming and pressing, while the S. mutans adhesion was not affected. Surface roughness and surface free energy showed no significant correlation with microbial adhesion. Increased fungal adhesion to oral splints manufactured by 3D printing or milling may be relevant for medically compromised patients with an enhanced risk for developing candidiasis.


2019 ◽  
Vol 44 (1) ◽  
pp. 88-95 ◽  
Author(s):  
G Daryakenari ◽  
H Alaghehmand ◽  
A Bijani

SUMMARY Objective: Computer aided design-computer aided machining (CAD-CAM) ceramic crowns are replacing ceramo-metal ones due to newly developed mechanical properties and esthetics. To obtain knowledge about their interactions due to polishing and occlusal contacts with the opposing dental enamel specimen, including surface roughness and wear, the three-body wear simulation was investigated. Methods and Materials: The surface roughness (RA) and wear rate (mm) of four CAD-CAM blocks with different compositions including Vita Mark II, e.max, Suprinity, and Enamic, after two surface treatments of glazing and polishing, and their opposing enamel specimens, were investigated using a mastication simulator and atomic force microscope. Results: The roughness of all ceramic and to a greater extent enamel samples, with the exception of enamel opposing polished Enamic samples, was decreased after wear. No significant difference in wear was evident for the ceramic samples between the glazed and polished treatments. Lower wear rates were recorded only for polished Vita Mark II and polished Enamic in comparison to the glazed ones. Conclusion: The newly developed polishing systems for CAD-CAM ceramics can be good alternatives to reglazing, because the roughness and wear rate of both the ceramic and the opposing enamel will either not change or decrease.


2018 ◽  
Vol 43 (5) ◽  
pp. 539-548 ◽  
Author(s):  
JP Andrade ◽  
D Stona ◽  
HR Bittencourt ◽  
GA Borges ◽  
LH Burnett ◽  
...  

SUMMARY The aim was to evaluate, in vitro, the influence of different computer-aided design/computer-aided manufacturing (CAD/CAM) materials (IPS e.max CAD, Vita Enamic, and Lava Ultimate) and thicknesses (0.6 mm and 1.5 mm) on the fracture resistance of occlusal veneers. Sixty human third molars were prepared to simulate advanced erosion of the occlusal surface, and the teeth were randomly divided into six experimental groups (n=10) according to the material and thickness used to build the veneers. Ten sound teeth formed the control group. The veneers were adhesively luted and submitted to mechanical cyclic loading (1 million cycles at 200-N load). The fracture resistance test was performed in a universal testing machine. The failures were classified as “reparable” and “irreparable.” According to two-way analysis of variance and the Tukey test, the interaction (material × thickness) was significant (p=0.013). The highest fracture resistance was obtained for IPS e.max CAD at a 1.5-mm thickness (4995 N) and was significantly higher compared to the other experimental groups (p&lt;0.05). The lowest fracture resistance was obtained for Vita Enamic at 0.6 mm (2973 N), although this resistance was not significantly different from those for IPS e.max CAD at 0.6 mm (3067 N), Lava Ultimate at 0.6 mm (3384 N), Vita Enamic at 1.5 mm (3540 N), and Lava Ultimate at 1.5 mm (3584 N) (p&gt;0.05). The experimental groups did not differ significantly from the sound teeth (3991 N) (p&gt;0.05). The failures were predominantly repairable. The occlusal veneers of IPS e.max CAD, Vita Enamic, and Lava Ultimate, with thicknesses of 0.6 mm and 1.5 mm, obtained fracture resistances similar to those associated with sound teeth.


Materials ◽  
2020 ◽  
Vol 13 (4) ◽  
pp. 981 ◽  
Author(s):  
Konstantinos Papadopoulos ◽  
Kimon Pahinis ◽  
Kyriaki Saltidou ◽  
Dimitrios Dionysopoulos ◽  
Effrosyni Tsitrou

Computer-aided design/computer-aided manufacturing (CAD/CAM) technology was developed to ensure the sufficient strength of tooth restorations, to improve esthetic restorations with a natural appearance and to make the techniques easier, faster and more accurate. In the view of the limited research on the surface treatments of the CAD/CAM materials and the need to evaluate the ideal surface characteristics of a material to achieve the best adhesion to tooth tissues, this study aimed to investigate the surface roughness and morphology of four different CAD/CAM materials using four different surface treatments. The CAD/CAM materials used in this study were three composites (Shofu Block HC, Lava Ultimate and Brilliant Crios) and a hybrid ceramic (Enamic). The surface of the specimens of each material received one of the following treatments: no surface treatment, sandblasting with 29 μm Al2O3 particles, 9% hydrofluoric acid etching and silane application, and the tribochemical method using CoJet System. Surface roughness was evaluated using optical profilometry, and surface morphology was observed by means of scanning electron microscopy. All surface treatments resulted in higher surface roughness values compared to the control group. Different treatments affected the surface properties of the materials, presumably due to discrepancies in their composition and structure.


2012 ◽  
Vol 37 (6) ◽  
pp. 617-624 ◽  
Author(s):  
S Flury ◽  
A Peutzfeldt ◽  
A Lussi

SUMMARY The aim of this study was to evaluate the influence of surface roughness on surface hardness (Vickers; VHN), elastic modulus (EM), and flexural strength (FLS) of two computer-aided design/computer-aided manufacturing (CAD/CAM) ceramic materials. One hundred sixty-two samples of VITABLOCS Mark II (VMII) and 162 samples of IPS Empress CAD (IPS) were ground according to six standardized protocols producing decreasing surface roughnesses (n=27/group): grinding with 1) silicon carbide (SiC) paper #80, 2) SiC paper #120, 3) SiC paper #220, 4) SiC paper #320, 5) SiC paper #500, and 6) SiC paper #1000. Surface roughness (Ra/Rz) was measured with a surface roughness meter, VHN and EM with a hardness indentation device, and FLS with a three-point bending test. To test for a correlation between surface roughness (Ra/Rz) and VHN, EM, or FLS, Spearman rank correlation coefficients were calculated. The decrease in surface roughness led to an increase in VHN from (VMII/IPS; medians) 263.7/256.5 VHN to 646.8/601.5 VHN, an increase in EM from 45.4/41.0 GPa to 66.8/58.4 GPa, and an increase in FLS from 49.5/44.3 MPa to 73.0/97.2 MPa. For both ceramic materials, Spearman rank correlation coefficients showed a strong negative correlation between surface roughness (Ra/Rz) and VHN or EM and a moderate negative correlation between Ra/Rz and FLS. In conclusion, a decrease in surface roughness generally improved the mechanical properties of the CAD/CAM ceramic materials tested. However, FLS was less influenced by surface roughness than expected.


2021 ◽  
Vol 19 ◽  
pp. 228080002110588
Author(s):  
Sarah S. Al-Angari ◽  
Shahad Meaigel ◽  
Nouf Almayouf ◽  
Shahad Quwayhis ◽  
Abdulelah Aldahash ◽  
...  

Objectives: To investigate the effects of a coffee beverage and two whitening systems on the surface roughness and gloss of glazed Lithium Disilicate Glass-Ceramics (LDGC) for computer-aided design/computer-aided manufacturing (CAD/CAM) systems. Methods: Sixty-eight LDGC disks (12 × 10 × 2 mm) were prepared from blocks of CAD/CAM systems (IPS e.max CAD ceramic). Baseline measurements for surface roughness (Ra) and gloss (GU) were taken using a 3-D optical profilometer and a glossmeter, respectively; then specimens were randomized into four groups ( n = 17). All specimens were immersed in a coffee solution (24 h × 12 days) then subjected to two whitening systems. G1-negative control (kept moist × 7 days); G2-positive control (brushed with distilled water, 200 g/load, 2 min twice daily × 7 days); G3-whitening toothpaste (Colgate optic white; relative dentin abrasivity (RDA) = 100, 200 g/load, 2 min twice daily × 7 days); and G4-simulated at-home bleaching protocol (Opalescence,15% carbamide peroxide (CP), 6 h/day × 7 days). The study outcomes were measured at baseline and after the treatments. Data were analyzed using paired T-test and one-way ANOVA (α = 0.05). Results: The mean surface roughness significantly increased ( p ⩽ 0.002) for all groups after the designated treatment protocols. Among groups, the mean surface roughness of G2 and G3 were significantly higher ( p ⩽ 0.001) (Ra: 0.51 and 0.57 μm, respectively) compared to the control group (Ra: 0.23 μm), and were not significantly different from G4 (Ra: 0.46 μm). Surface gloss decreased with no significant change within or among groups after treatment. Conclusion: All glazed LDGC had a significant increase in surface roughness after being subjected to simulated 1 year of coffee drinking and whitening systems (15% CP and whitening toothpaste), and the greatest change was associated with brushing (simulating 8 months). However, coffee beverages and whitening systems had no significant effect on the surface gloss.


2018 ◽  
Vol 44 (6) ◽  
pp. 427-431 ◽  
Author(s):  
Eduardo Anitua ◽  
Carlos Flores ◽  
Laura Piñas ◽  
Mohammad Hamdan Alkhraisat

Computer-aided design/computer-aided manufacturing (CAD-CAM) technology permits the angular correction of screw emergence into the prosthesis; however, there is lack of controlled clinical studies that assess the frequency of technical complications in angled screw channel restorations. This controlled clinical study was designed to assess technical incidences in angled screw channel restorations. Patients who underwent placement of implant prosthesis between November 2014 and December 2015 were screened. The patients were selected if they received a prosthesis with up to 30° correction of the prosthesis screw emergence and had at least 1 nonangulated prosthesis (screw retained). All prostheses were located completely/partially in the posterior region. The frequency of technical complications was the principal variable. A total of 52 patients with a mean age of 62 ± 10 years participated, with a total of 110 prostheses (55 in the test group and 55 in the control group). A total of 11 technical complications occurred (7 in the test group and 4 in the control group). These differences were not statistically significant. All prostheses in both groups survived the follow-up. The correction of the screw emergence into the prosthesis has not increased the risk of technical complications in CAD-CAM implant prostheses.


Author(s):  
A. N. Bozhko

Computer-aided design of assembly processes (Computer aided assembly planning, CAAP) of complex products is an important and urgent problem of state-of-the-art information technologies. Intensive research on CAAP has been underway since the 1980s. Meanwhile, specialized design systems were created to provide synthesis of assembly plans and product decompositions into assembly units. Such systems as ASPE, RAPID, XAP / 1, FLAPS, Archimedes, PRELEIDES, HAP, etc. can be given, as an example. These experimental developments did not get widespread use in industry, since they are based on the models of products with limited adequacy and require an expert’s active involvement in preparing initial information. The design tools for the state-of-the-art full-featured CAD/CAM systems (Siemens NX, Dassault CATIA and PTC Creo Elements / Pro), which are designed to provide CAAP, mainly take into account the geometric constraints that the design imposes on design solutions. These systems often synthesize technologically incorrect assembly sequences in which known technological heuristics are violated, for example orderliness in accuracy, consistency with the system of dimension chains, etc.An AssemBL software application package has been developed for a structured analysis of products and a synthesis of assembly plans and decompositions. The AssemBL uses a hyper-graph model of a product that correctly describes coherent and sequential assembly operations and processes. In terms of the hyper-graph model, an assembly operation is described as shrinkage of edge, an assembly plan is a sequence of shrinkages that converts a hyper-graph into the point, and a decomposition of product into assembly units is a hyper-graph partition into sub-graphs.The AssemBL solves the problem of minimizing the number of direct checks for geometric solvability when assembling complex products. This task is posed as a plus-sum two-person game of bicoloured brushing of an ordered set. In the paradigm of this model, the brushing operation is to check a certain structured fragment for solvability by collision detection methods. A rational brushing strategy minimizes the number of such checks.The package is integrated into the Siemens NX 10.0 computer-aided design system. This solution allowed us to combine specialized AssemBL tools with a developed toolkit of one of the most powerful and popular integrated CAD/CAM /CAE systems.


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